Effect of suprapubic lithocystotomy combined with transurethral resection of the prostate in the treatment of prostatic hyperplasia complicated with bladder stones / 中国基层医药

ABSTRACT

Objective To observe the effect of suprapubic lithocystotomy combined with transurethral resection of the prostate ( TURP) in the treatment of benign prostatic hyperplasia ( BPH) complicated with bladder stones ,and to summarize the surgical technique .Methods Eighty-two BPH patients with bladder stones were selected ,and they were randomly divided into two groups according to the digital table ,with 41cases in each group.The control group received TURP combined with pneumatic lithotripsy .The study group was treated with TURP combined with lithocystotomy .The treatment effect was compared between the two groups .Results The blood loss ,duration of stone surgery and total operative time in the study group were (64.1 ±1.3)mL,(12.6 ±2.5)min,(63.1 ±1.6)min, respectively,which were significantly lower than those in the control group [(92.1 ±1.8) mL,(23.6 ±2.1) min, (83.1 ±1.7)min,t=17.294,11.391,15.125,all P<0.05].The maximal urinary flow rate (Qmax) of the study group was (18.4 ±4.3)mL/s,which was significantly higher than (9.5 ±5.1)mL/s of the control group(t =15.294,P<0.05).The international prostate symptoms score (IPSS),residual urine volume (RUV),quality of life (QOL) score in the study group were (8.8 ±1.7)points,(15.8 ±5.3)mL,(1.4 ±0.6)points,which were signifi-cantly lower than those in the control group [(17.3 ±2.8)points,(42.5 ±6.1)mL,(3.6 ±1.8)points] (t=15.391,22.125,12.935,all P<0.05).The incidence rate of postoperative complications in the study group (7.1%) was significantly lower than 40.5%in the control group (χ2 =6.935,P<0.05).Conclusion TURP combined with lithocystotomy in the treatment of BPH complicated with bladder stones is helpful to improve the therapeutic effect and reduce the risk of complications .